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This can be done by eating foods such as meat, fish, dairy products, and eggs, or by taking vitamin B12 supplements if necessary Regular blood tests to check for vitamin B12 deficiency, especially if you have any of the risk factors for pernicious anemia If you develop signs of pernicious anemia, see a doctor Keep up a fit lifestyle Dont Neglect pernicious anemia symptoms Without consulting a physician, don not stop taking vitamin B12 pills Avoid foods that can interfere with the absorption of vitamin B12, such as large amount of alcohol, foods high in phytic acid, and foods high in calcium It is important to note that preventing pernicious anemia is vital as it can lead to serious health problems if left untreated

After the initial intensive phase, patients can either continue with intramuscular injections or switch to high-dose oral B12 supplements for long-term maintenance

Older adults with a vitamin B12 level less than 100 pg/mL (74 pmol/L) may also have symptoms

Higher muscle use and metabolic demand can increase vitamin D and B12 requirements, especially without adequate intake or sun exposure

Turns out, when she finally let me help her, she hadnt dilated